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1316354905
NICOLE DANIELS
WILSONVILLE, OR
NPI
1316354905
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: OR 308567)
Enumeration Date
2014-07-16
Last Update Date
2014-07-16
Business Address
-- NICOLE DANIELS
25117 SW PARKWAY AVE STE D
WILSONVILLE, OR 97070-9697
Phone number: 971-224-2040
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Mailing Address
-- NICOLE DANIELS
5024 SE 40TH AVE
PORTLAND, OR 97202-4222
Phone number:
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